MEDICARE: KAREN A. GARRETT MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	ISW 4556	FL
2	1041C0700X	Clinical Social Worker	SW9574	FL

General Provider Information

NPI Number	:	1700031986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN A. GARRETT MSW

Provider Business Mailing Address
First Line	:	1801 ERIN BROOKE DR
Second Line	:
City	:	VALRICO
State	:	FL
Zip	:	33594-4004
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3010 W AZEELE ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-3139
Country	:	US
Telephone Number	:	813-877-2200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2008
Last Update Date	:	05/27/2015

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